Value of patient time invested in the colonoscopy screening process: time requirements for colonoscopy study.

Value of patient time invested in the colonoscopy screening process: time requirements for colonoscopy study. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Value of patient time invested in the colonoscopy screening process: time requirements for colonoscopy study. Abstract Text:

Daniel E Jonas,Louise B Russell,Robert S Sandler,Jon Chou,Michael Pignone,Daniel E Jonas,Louise B Russell,Robert S Sandler,Jon Chou,Michael Pignone,

PURPOSE: Previous cost-effectiveness analyses of colorectal cancer screening have not considered the value of patient time despite consensus recommendations to do so. The authors sought to estimate the amount and value of patient time required for screening colonoscopy. METHODS: Patients who were scheduled to undergo screening colonoscopy were recruited from a university endoscopy center. Participants completed a time diary for the screening colonoscopy process, including time spent in preparation, travel, waiting, colonoscopy, and recovery. The authors defined several time intervals and estimated their value. The primary time interval of interest, called occupied time, included preparation, travel, waiting, the colonoscopy procedure, and on-site recovery. Time was valued at the 2005 average wage rate. The authors performed sensitivity analyses to test other time intervals and wage rates. They then incorporated patient time costs into a previously published cost-effectiveness analysis of colorectal cancer screening to examine their impact. RESULTS: One hundred ten subjects completed the study. The sample was 57% female, 85% Caucasian, and 90% insured (40% Medicare, 4% Medicaid). The mean occupied time was 23.2 hours, worth $432 at the average wage rate. The authors estimate that including patient time costs in cost-effectiveness analysis would increase the cost per life-year saved with screening colonoscopy by 68%, from $13,100 to $22,000. Sensitivity analyses showed that the increase could range from 17% to 224% depending on the time interval valued. CONCLUSIONS: Patient time constitutes an important cost in colonoscopy screening and should be included in cost-effectiveness analyses.

Value of patient time invested in the colonoscopy screening process: time requirements for colonoscopy study. Publishing Authors By Initials

DE Jonas,LB Russell,RS Sandler,J Chou,M Pignone,DE Jonas,LB Russell,RS Sandler,J Chou,M Pignone,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE: 2008 Jan-Feb

Value of patient time invested in the colonoscopy screening process: time requirements for colonoscopy study. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Medical decision making : an international journal

VOLUME: 28

Page Numbers: 56-65

Journal Abbreviation:

ISSN: 0272-989X

DAY: 11

MONTH: 02

YEAR: 2008

Value of patient time invested in the colonoscopy screening process: time requirements for colonoscopy study. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 8109073

Value of patient time invested in the colonoscopy screening process: time requirements for colonoscopy study. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Value of patient time invested in the colonoscopy screening process: time requirements for colonoscopy study. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Value of patient time invested in the colonoscopy screening process: time requirements for colonoscopy study.

AFFILIATION: Department of Medicine, University of North Carolina at Chapel Hill. daniel_jonas@med.unc.edu.

Country: United States

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Med Decis Making

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Value of patient time invested in the colonoscopy screening process: time requirements for colonoscopy study Related Publications

• A systematic review of the use of quality of life measures in colorectal cancer research with attention to outcomes in elderly patients.
• Avoidance of ACE inhibitors or angiotensin receptor blockers among women of childbearing potential with diabetes.
• Bowman-Birk inhibitors in Lens: identification and characterization of two paralogous gene classes in cultivated lentil and wild relatives.
• Cost-effectiveness of Proton Pump Inhibitor Cotherapy in Patients Taking Long-term, Low-Dose Aspirin for Secondary Cardiovascular Prevention--Invited Commentary.
• Extracolonic findings with computed tomographic colonography: asset or liability?
• Health insurance-related disparities in colorectal cancer screening in virginia.
• Incorporating decision analysis in decision aids.
• Literacy and its relationship with self-efficacy, trust, and participation in medical decision making.
• Low parental literacy is associated with worse asthma care measures in children.
• Measures used in studies of informed decision making about cancer screening: a systematic review.
• Patient preferences for colon cancer screening: the role of out-of-pocket costs.
• Patient time requirements for screening colonoscopy.
• Perspective: the role of numeracy in health care.
• Resident physicians' life expectancy estimates and colon cancer screening recommendations in elderly patients.
• Should a colon cancer screening decision aid include the option of no testing? A comparative trial of two decision aids.
• The effect of offering different numbers of colorectal cancer screening test options in a decision aid: a pilot randomized trial.
• The impact of a decision aid about heart disease prevention on patients' discussions with their doctor and their plans for prevention: a pilot randomized trial.
• The uptake and effect of a mailed multi-modal colon cancer screening intervention: A pilot controlled trial.
• Therapeutic challenges for systemic sclerosis: facts and future targets.
• Value of patient time invested in the colonoscopy screening process: time requirements for colonoscopy study.
• [Not Available.]